application permit · E-4

Approval of Cigarette License Renewal – July 1, 2026 – Maverick, The Depot Express, Parkside Liquor, Fareway, Hometown Spirits, Casey’s General Stores, Kwik Star and Tiffin Iron Tap — E.4

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5/13/26, 12:06 PM License Administration End Date : 30-Jun-2027 License Fee : 75.00 Types of Sales : Over the Counter Type of Establishment : Grocery store Types of Products Sold : Cigarettes, Tobacco, Vapor Products, Alternative Nicotine Products Do you intend to make retail sales to : Yes ultimate consumers? Do you have other permits issued under : No Iowa Code chapter 453A at this retail location? If yes, provide permit number(s) in the next step: Ownership Details Owner Position Single Line Address MORAN, JAKE Officer PO BOX 70 715 8TH STREET BO PIKLAPP, GARRETT S Owner 105 IRON DRIVE HUXLEY IA 50 DIGHTON, JEFF Owner 1204 NIGHTINGALE PLACE BO FREDERICK J VITT, TRUSTEE, FROwner P.O. BOX 246 BOONE IA 50036 EACH HOLDING LESS THAN FI Owner 715 8TH STREET PO BOX 70 BO SCOTT H BECKWITH, TRUSTEE Owner 715 8TH STREET BOONE IA 50 Suppliers List A list of suppliers for cigarettes, tobacco, alternative nicotine, and vapor products must be included with all retail tobacco permit applications. Applicants may submit this information in text form or as a PDF upload. Local authorities may review this information during the application review process. https://govconnect.iowa.gov/TAP/Licensing/_/#54 2/3

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